Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $245.47 / $398.11	Facility	26	$134.90	$245.47	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $407.38	Professional		$114.82	$169.82	$407.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $562.34	Professional		$120.23	$245.47	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $275.42	Professional		$169.82	$204.17	$275.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $380.19	Professional		$125.89	$151.36	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $489.78	Professional		$109.65	$199.53	$489.78